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Wyoming rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $102.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.76 / $114.76 / $114.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.76 / $114.76 / $114.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $136.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $73.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.99 / $58.63 / $65.08